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The Gastrocnemius Intramuscular Aponeurotic Recession: A Simplified Method of Gastrocnemius Recession

  • Author Footnotes
    1 Research Director and Attending Staff, Kaiser North Bay Consortium Residency Program, Department of Orthopedics and Foot & Ankle Surgery, Kaiser Permanente Medical Centers, Santa Rosa, CA.
    Neal M. Blitz
    Correspondence
    Address correspondence to: Neal M. Blitz, DPM, Attending Podiatric Surgeon, Department of Orthopedics, Kaiser Permanente Medical Center, 3925 Old Redwood Highway, Santa Rosa, CA 95043.
    Footnotes
    1 Research Director and Attending Staff, Kaiser North Bay Consortium Residency Program, Department of Orthopedics and Foot & Ankle Surgery, Kaiser Permanente Medical Centers, Santa Rosa, CA.
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  • Author Footnotes
    2 Attending Staff, San Francisco Bay Area Foot and Ankle Residency Program, Department of Orthopedics and Podiatric Surgery, Kaiser Permanente Medical Centers, Walnut Creek, CA.
    Shannon M. Rush
    Footnotes
    2 Attending Staff, San Francisco Bay Area Foot and Ankle Residency Program, Department of Orthopedics and Podiatric Surgery, Kaiser Permanente Medical Centers, Walnut Creek, CA.
    Search for articles by this author
  • Author Footnotes
    1 Research Director and Attending Staff, Kaiser North Bay Consortium Residency Program, Department of Orthopedics and Foot & Ankle Surgery, Kaiser Permanente Medical Centers, Santa Rosa, CA.
    2 Attending Staff, San Francisco Bay Area Foot and Ankle Residency Program, Department of Orthopedics and Podiatric Surgery, Kaiser Permanente Medical Centers, Walnut Creek, CA.
      Gastrocnemius recession is performed as an ancillary procedure in the treatment of a variety of pathologic foot and ankle conditions, most notably symptomatic adolescent and adult pes planovalgus, plantar fasciitis, and diabetic foot pathology (
      • Fulp M.J.
      • McGlamry E.D.
      Gastrocnemius tendon recession Tongue in groove procedure to lengthen gastrocnemius tendon.
      ,
      • Toolan B.C.
      • Sangeorzan B.J.
      • Hansen Jr, S.T.
      Complex reconstruction for the treatment of dorsolateral peritalar subluxation of the foot Early results after distraction arthrodesis of the calcaneocuboid joint in conjunction with stabilization of, and transfer of the flexor digitorum longus tendon to, the midfoot to treat acquired pes planovalgus in adults.
      ,
      • Lin S.S.
      • Lee T.H.
      • Wapner K.L.
      Plantar forefoot ulceration with equinus deformity of the ankle in diabetic patients: the effect of tendo-Achilles lengthening and total contact casting.
      ,
      • Lavery L.A.
      • Armstrong D.G.
      • Boulton A.J.
      Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus.
      ). Several technique modifications have been introduced to potentially decrease complications (especially sural nerve–related problems), anticipate anatomic variation, improve function, decrease postoperative convalescence, and improve cosmesis (
      • Vulpius O.
      • Stoffel A.
      Tenotomie der end schnen der mm. gastrocnemius el soleus mittels mittels rutschenlassens nach vulpius.
      ,
      • Silfverskiöld N.
      Reduction of the uncrossed two-joints muscles of the leg to one-joint muscles in spastic conditions.
      ,
      • Strayer Jr, L.M.
      Recession of the gastrocnemius; an operation to relieve spastic contracture of the calf muscles.
      ,
      • Strayer Jr, L.M.
      Gastrocnemius recession; five-year report of cases.
      ,
      • Baker L.D.
      A rational approach to the surgical needs of the cerebral palsy patient.
      ,
      • Scherb R.
      Die Fensterung der Schnenplatte des Gastrocnemius zur Korrecktur des neuro-myogenen Spitzfußes.
      ,
      • Baumann J.U.
      • Koch H.G.
      Lengthening of the anterior aponeurosis of the gastrocnemius muscle.
      ,
      • Hansen S.T.
      Tendon transfers and muscle balancing techniques.
      ,
      • Pinney S.J.
      • Sangeorzan B.J.
      • Hansen Jr, S.T.
      Surgical anatomy of the gastrocnemius recession (Strayer procedure).
      ,
      • Sgarlato T.E.
      Medial gastrocnemius tenotomy to assist body posture balancing.
      ,
      • Lamm B.M.
      • Paley D.
      • Herzenberg J.E.
      Gastrocnemius soleus recession: a simpler, more limited approach.
      ,
      • Tashjian R.Z.
      • Appel A.J.
      • Banerjee R.
      • DiGiovanni C.W.
      Endoscopic gastrocnemius recession: evaluation in a cadaver model.
      ).
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